tci Medicare Compliance & Reimbursement - 2019 Issue 7

Prepare For Consolidated Billing Situations With This Sample Contract

Expedite SNF coordination with an upfront agreement. If you find your practice is coordinating more and more with skilled nursing facilities (SNFs) to better care for patients, a basic consolidated billing agreement will help to outline your arrangement. Reminder: Consolidated billing occurs when you bill a SNF directly for some services, and the SNF in turn bills Medicare. This can require a lot of coordination between your practice and the SNF. Moreover, if contracted incorrectly, it can lead to billing snafus. If you perform frequent services with a SNF, you should consider creating a contract between your practice and...

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